Medicare of North Carolina Reimbursement Rates

Accepting Medicare of North Carolina shouldn't be mysterious. We share our aggregate data -- whether you're a client of ours or not.

Medicare of North Carolina Reimbursement Rates for Physical Therapy Practices in North Carolina

Physical Therapy Practice Benchmarks in North Carolina

Average Reimbursement Per Visit

While negotiated reimbursement rates between Medicare of North Carolina and a healthcare provider are confidential, we can give you a general sense for Medicare of North Carolina's reimbursement rates by looking at the aggregate data across StrataPT's customers.
$115.21
Latest
$111.65
Expected
$115.21
High
$164.55
Mean
$101.52
Low
$88.81
Median
$99.21

Recent Visit CPT Code Combinations

Data refreshed 11 hours ago
Codes and Units Units Total Reimbursement Average Per Unit
97112 x 4 (No Assistant)
Units
4 units @ $24.94 average per unit
Reimbursement
$99.77 total reimbursement
4$99.77$24.94
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97140 x 1 (Assistant)
Units
3 units @ $21.55 average per unit
Reimbursement
$64.66 total reimbursement
3$64.66$21.55
97110 x 1 (No Assistant), 97530 x 3 (No Assistant)
Units
4 units @ $25.57 average per unit
Reimbursement
$102.29 total reimbursement
4$102.29$25.57
97110 x 1 (No Assistant), 97112 x 3 (No Assistant)
Units
4 units @ $24.65 average per unit
Reimbursement
$98.59 total reimbursement
4$98.59$24.65
97112 x 1 (No Assistant), 97530 x 3 (No Assistant)
Units
4 units @ $26.57 average per unit
Reimbursement
$106.28 total reimbursement
4$106.28$26.57
97110 x 1 (Assistant), 97140 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $22.51 average per unit
Reimbursement
$67.53 total reimbursement
3$67.53$22.51
97530 x 3 (No Assistant)
Units
3 units @ $27.39 average per unit
Reimbursement
$82.17 total reimbursement
3$82.17$27.39
97110 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
3 units @ $26.50 average per unit
Reimbursement
$79.49 total reimbursement
3$79.49$26.50
97110 x 2 (Assistant), 97140 x 1 (Assistant)
Units
3 units @ $20.23 average per unit
Reimbursement
$60.69 total reimbursement
3$60.69$20.23
97110 x 3 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $23.73 average per unit
Reimbursement
$94.91 total reimbursement
4$94.91$23.73
97110 x 2 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $25.41 average per unit
Reimbursement
$76.23 total reimbursement
3$76.23$25.41
97530 x 4 (No Assistant)
Units
4 units @ $26.64 average per unit
Reimbursement
$106.57 total reimbursement
4$106.57$26.64
97110 x 3 (No Assistant), 97112 x 1 (No Assistant)
Units
4 units @ $22.51 average per unit
Reimbursement
$90.05 total reimbursement
4$90.05$22.51
97110 x 2 (No Assistant), 97112 x 2 (No Assistant)
Units
4 units @ $23.44 average per unit
Reimbursement
$93.76 total reimbursement
4$93.76$23.44
97112 x 3 (No Assistant)
Units
3 units @ $26.29 average per unit
Reimbursement
$78.86 total reimbursement
3$78.86$26.29
97110 x 1 (No Assistant), 97112 x 2 (No Assistant)
Units
3 units @ $25.52 average per unit
Reimbursement
$76.57 total reimbursement
3$76.57$25.52
97110 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
2 units @ $27.83 average per unit
Reimbursement
$55.66 total reimbursement
2$55.66$27.83
97140 x 1 (Assistant), 97530 x 2 (Assistant)
Units
3 units @ $23.11 average per unit
Reimbursement
$69.34 total reimbursement
3$69.34$23.11
97112 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $26.15 average per unit
Reimbursement
$78.44 total reimbursement
3$78.44$26.15
97530 x 2 (No Assistant)
Units
2 units @ $29.42 average per unit
Reimbursement
$58.83 total reimbursement
2$58.83$29.42
97140 x 1 (No Assistant), 97530 x 2 (No Assistant)
Units
3 units @ $26.25 average per unit
Reimbursement
$78.75 total reimbursement
3$78.75$26.25
92507 x 1 (No Assistant)
Units
1 units @ $72.35 average per unit
Reimbursement
$72.35 total reimbursement
1$72.35$72.35
97112 x 3 (No Assistant), 97530 x 1 (No Assistant)
Units
4 units @ $26.43 average per unit
Reimbursement
$105.72 total reimbursement
4$105.72$26.43
97112 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $26.19 average per unit
Reimbursement
$104.76 total reimbursement
4$104.76$26.19
97110 x 2 (No Assistant), 97530 x 2 (No Assistant)
Units
4 units @ $25.11 average per unit
Reimbursement
$100.44 total reimbursement
4$100.44$25.11
97110 x 1 (Assistant), 97112 x 1 (Assistant), 97530 x 1 (Assistant)
Units
3 units @ $23.46 average per unit
Reimbursement
$70.37 total reimbursement
3$70.37$23.46
97110 x 4 (No Assistant)
Units
4 units @ $22.31 average per unit
Reimbursement
$89.25 total reimbursement
4$89.25$22.31
97110 x 1 (No Assistant), 97140 x 1 (No Assistant), 97530 x 1 (No Assistant)
Units
3 units @ $25.09 average per unit
Reimbursement
$75.26 total reimbursement
3$75.26$25.09

Top Healthcare Payers in North Carolina

Aetna

$121.42

paid in 8 days
View 4 recent CPT Code Combinations

BCBS of North Carolina

$116.29

paid in 9 days
View 14 recent CPT Code Combinations

Medicare of North Carolina

$115.21

paid in 22 days
View 28 recent CPT Code Combinations

Historical

$107.84

paid in NaN days
View recent CPT Code Combinations

Humana

$93.82

paid in 11 days
View 1 recent CPT Code Combinations

Tricare East

$57.84

paid in 7 days
View 55 recent CPT Code Combinations

CPT copyright 2023 American Medical Association.

All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

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300
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70%

This is the total amount you currently spend for EMR, scheduling or other software used to run your practice on a daily basis.

This is the total amount you currently spend for billing services. Typically this is the total monthly expense of your billing team (including salaries, benefits, clearinghouse fees, USPS postage and more) or the monthly fees paid to your billing service.

+$11,397.21 additional cash each month for your practice

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